Active NPI
Leon Gustav Rosenkranz, M.D.
- Internal Medicine Physician
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 128439
- Practice address
- 435 S Gulfstream Ave
Sarasota, FL 34236-6736 - Phone
- (718) 974-7518
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 123694 | FL | |
| Internal Medicine Physician | 207R00000X | 128439 | NY | Primary |
Addresses
Primary practice location
435 S Gulfstream Ave
Sarasota, FL 34236-6736
Mailing address
435 S Gulfstream Ave
Sarasota, FL 34236-6736
Phone (718) 974-7518
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128439 | Other | NY | NY STATE MEDICAL LICENSE |
| 00319897 | Medicaid | NY | |
| 123694 | Other | FL | FLORIDA MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100921000016 | NY | Practitioner - Internal Medicine | 4183749682 | Practice locations: Brooklyn, NY |
| I20181112001018 | FL | Practitioner - Hospitalist | 4183749682 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123694 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hni Medical Services of Florida, LLC | Internal Medicine | Current | Accepting new patients |
| LMC Physician Services, PC | Internal Medicine | Past | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
13755 Golf Club Pkwy
Fort Myers, FL 33919
Phone (239) 482-2848
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
1501 N Orange Ave
Sarasota, FL 34236
Phone (941) 309-5763
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1346256104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1033114483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 S GULFSTREAM AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342366736",
"telephone_number": "718-974-7518",
"fax_number": "718-273-9664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 S GULFSTREAM AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342366736",
"telephone_number": "718-974-7518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENKRANZ",
"first_name": "LEON",
"middle_name": "GUSTAV",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "123694",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "128439",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE MEDICAL LICENSE",
"identifier": "128439",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00319897",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA MEDICAL LICENSE",
"identifier": "123694",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.